Heatherdowns Rehab & Residential Care Center

Nursing Home · Toledo, OH

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number365737

Contact & location

2401 Cass RD
Toledo, OH 43614
Lucas County
Phone
(419) 382-5050
ZIP code
43614 – all care providers

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Facility details

Certified beds
84
Residents per day
77.1 (92% occupied)
Ownership
For profit - Limited Liability company
Legal name
Heatherdowns Operating Company LLC
Chain
Lionstone Care (24 facilities, avg 2.5★)
Medicare certified since
June 15, 1989
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.4
Quality measures★★★★★ 5/5
State avg 4.4
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.09 (state 3.69 · U.S. 3.86)
Registered nurses (RN)
0.37 (state 0.64 · U.S. 0.69)
Licensed practical nurses
1.10 (state 0.95 · U.S. 0.86)
Nurse aides
1.62 (state 2.09 · U.S. 2.32)
Weekend total
2.80 (state 3.28 · U.S. 3.42)
Nursing staff turnover
68.8 (state 48.7 · U.S. 45.8)%
RN turnover
70.0 (state 43.9 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
February 10, 2025
Health deficiencies (last cycle)
16.0 (state 10.7 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
54 health · 8 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-06 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-08
2026-05-06 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-08
2026-01-28 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-12
2026-01-28 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2026-01-28 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-30
2025-11-26 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-02
2025-09-18 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-08-10
2025-02-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2025-02-10 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-21
2024-12-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2024-11-19 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-29
2024-10-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-26
2024-05-23 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-01
2024-04-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-01
2024-02-28 Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-07
2024-02-28 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-07
2023-12-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-12-29
2023-12-11 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-29
2023-12-11 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-29
2023-11-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-12-29
2023-11-16 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-29
2023-11-16 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-29
2023-10-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-23
2022-09-22 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2022-09-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-10-21
2019-09-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18
2019-09-12 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18
2019-09-12 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18
2019-09-12 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18
2019-09-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18
2019-09-12 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-10-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Lionstone HZ Opco Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Kazarnovsky, Solomon (individual)5%+ Indirect Ownership Interest · 50%
Stein, Abba (individual)5%+ Indirect Ownership Interest · 50%
Cusner, Adam (individual)Administrator · NOT APPLICABLE
Degyansky, Jeffrey (individual)Administrator · NOT APPLICABLE
Goldish, Eliezer (individual)Administrator · NOT APPLICABLE
Kazarnovsky, Solomon (individual)Administrator · NOT APPLICABLE
Stein, Abba (individual)Administrator · NOT APPLICABLE
Cusner, Adam (individual)Corporate Officer · NOT APPLICABLE
Degyansky, Jeffrey (individual)Corporate Officer · NOT APPLICABLE
Goldish, Eliezer (individual)Corporate Officer · NOT APPLICABLE
Kazarnovsky, Solomon (individual)Corporate Officer · NOT APPLICABLE
Stein, Abba (individual)Corporate Officer · NOT APPLICABLE
Cusner, Adam (individual)Operational/managerial Control · NOT APPLICABLE
Degyansky, Jeffrey (individual)Operational/managerial Control · NOT APPLICABLE
Goldish, Eliezer (individual)Operational/managerial Control · NOT APPLICABLE
Kazarnovsky, Solomon (individual)Operational/managerial Control · NOT APPLICABLE
Stein, Abba (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Heatherdowns Rehab & Residential Care Center?

Heatherdowns Rehab & Residential Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.

How many beds does Heatherdowns Rehab & Residential Care Center have?

It has 84 certified beds and cares for about 77 residents per day.

Has Heatherdowns Rehab & Residential Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Heatherdowns Rehab & Residential Care Center?

It is part of Lionstone Care and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Heatherdowns Rehab & Residential Care Center?

(419) 382-5050. The facility is located at 2401 Cass RD, Toledo, OH 43614.

Other nursing homes in Toledo

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.